Healthcare Provider Details

I. General information

NPI: 1033426036
Provider Name (Legal Business Name): AIMEE JEANNE MACDONALD MA ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2010
Last Update Date: 09/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 CONGRESS ST SUITE 214
SALEM MA
01970-5529
US

IV. Provider business mailing address

155 SALEM RD
TOPSFIELD MA
01983-2515
US

V. Phone/Fax

Practice location:
  • Phone: 978-688-5222
  • Fax:
Mailing address:
  • Phone: 978-887-7997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: